Intake Forms

All potential clients need to fill out or intake forms prior to scheduling a session. If you have reached out from a different platform other than our website, instructions to our intake form as well as billing will be forwarded to you.

Please select which form is most applicable, after it is recieved we will reach out to you (typically 24-48hours after).

Be a Periscope Guest

Are you a holistic health, sexuality or otherwise open-minded person who has a passion that you want to talk about on Periscope with us? Reach out! We would love to have more guest speakers on our channel.

Stay in touch with us!

  • Grey Facebook Icon
  • Grey Instagram Icon
  • Grey Twitter Icon
  • Grey Blogger Icon